Let’s Personalize Your Weight Loss Journey

Take the quiz to see if you qualify for surgery and help us understand your goals and concerns.

What weight loss treatment are you interested in?

Height (ft)

Weight

What is your biggest obstacle to starting your weight loss journey right now? *

Can I afford weight loss options?

Does insurance cover weight loss?

Know if surgery is right for me?

Do weight loss meds really work?

Which payment option describes you best? *

I am Self-Paying or Financing

I am Using My Health Insurance

Where are you in your weight loss surgery decision process? *

Still exploring options

Figuring out my costs

Ready to book a consult

Have you been on any weight loss medication before?

Yes

Have you had weight loss surgery before?

Yes

Is your employer any of the following? *

If other was selected, fill in who your employer is

Thank you for completing this assessment. Please input the following information and someone from the Las Vegas Bariatrics team will contact you.

First Name *

Last Name *

Email *

Phone *

*Checking this box is my consent to receive phone calls, text messages and emails about my healthcare from Las Vegas Bariatrics. I understand that this consent is not a condition of purchasing any goods or services, I can opt out at any time, message/data rates may apply, and opting-in includes acceptance of our Privacy Policy and Terms of Service Communications through our website or via email are not encrypted and are not necessarily secure. Use of the internet or email is for your convenience only, and by using them, you assume the risk of unauthorized use.